Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 32231
Tele-Diagnosis System for Rural Thailand

Authors: C. Snae Namahoot, M. Brueckner


Thailand-s health system is challenged by the rising number of patients and decreasing ratio of medical practitioners/patients, especially in rural areas. This may tempt inexperienced GPs to rush through the process of anamnesis with the risk of incorrect diagnosis. Patients have to travel far to the hospital and wait for a long time presenting their case. Many patients try to cure themselves with traditional Thai medicine. Many countries are making use of the Internet for medical information gathering, distribution and storage. Telemedicine applications are a relatively new field of study in Thailand; the infrastructure of ICT had hampered widespread use of the Internet for using medical information. With recent improvements made health and technology professionals can work out novel applications and systems to help advance telemedicine for the benefit of the people. Here we explore the use of telemedicine for people with health problems in rural areas in Thailand and present a Telemedicine Diagnosis System for Rural Thailand (TEDIST) for diagnosing certain conditions that people with Internet access can use to establish contact with Community Health Centers, e.g. by mobile phone. The system uses a Web-based input method for individual patients- symptoms, which are taken by an expert system for the analysis of conditions and appropriate diseases. The analysis harnesses a knowledge base and a backward chaining component to find out, which health professionals should be presented with the case. Doctors have the opportunity to exchange emails or chat with the patients they are responsible for or other specialists. Patients- data are then stored in a Personal Health Record.

Keywords: Biomedical engineering, data acquisition, expert system, information management system, and information retrieval.

Digital Object Identifier (DOI):

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 2630


[1] WHO: A health telematics policy in support of WHO-s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics, 11-16 December, Geneva, 1997. Geneva, World Health Organization, 1998.
[2] B. Kijsanayotin, N. Kasitipradith, and S. Pannarunothai: "eHealth in Thailand: the current status". Studies in Health Technology and Informatics, 01/2010; 160(Pt 1), pp. 376-380.
[3] G. King and D. J. Godden: Care of Patients with Respiratory Disease in Remote and Rural Areas: Potential Role of Telehealth. Centre for Rural Health, Univ. of Aberdeen, October 2009.
[4] M. Verma, R. Raman and R. E. Mohan: "Application of teleophthalmology in remote diagnosis and management of adnexal and orbital diseases". Indian Journal of Ophthalmology, vol. 57, no.5, pp. 381-384, 2009.
[5] Y. Wang, J. Cao, L. Liu, K. Feng, S. Hong and B. Xi: "Framework of telemedicine diagnosis decision-making with Baysian network based on multi-agent system", 7th International Conference on Computer, Science & Education (ICCSE 2012), Melbourne, Australia, pp. 68-70.
[6] V.V. Perminov, E.Y. Perepelitsina, V.E. Antsiperov and D.S. Nikitov: "Remote medical consultations over the Internet: an implementation based on web-service technologies". Journal of Communications Technology and Electronics, vol. 53, no. 1, pp. 104-112, 2008.
[7] F. Verhoeven, L. van Gernert-Pijnen, K. Djikstra, N. Nijland, E. Seydel and M. Steehouder: "The contribution of teleconsultation and videocinferencing do diabetes care: a systematic literature review". Journal of Medical Internet Research, vol. 9, no.5, pp. 37, 2007
[8] P. T. Jaatinen, P. Aarnio, J. Remes, J. Hannukainen and T. Köym├ñri- Seilonen: "Teleconsultation as a replacement for referral to an outpatient clinic". Journal of Telemedicine and Telecare, vol. 8, no. 2, pp. 102-106, 2002.
[9] A. P. Sclafani, C. Heneghan, J. Ginsburg, P. Sabini, J, Stern and J. N. Doutsky: "Teleconsultation in otolaryngology: live versus store and forward consultations". Otolaryngology - Head and Neck Surgery , vol.120, no.1, pp. 62-72, 1999.
[10] S. Kulrattanamaneeporn, M. Tuntideelert, and G. J. Kost: "Using Telemedicine With Point-of-Care Testing to Optimize Health Care Delivery in Thailand". Point-of-Care. The Journal of Near-Patient Care Testing & Technology, vol. 5, no. 4, pp. 160-163, 2006.
[11] L. Curtis: Handbook of Signs and Symptoms. 4th ed. Emerald 2010.
[12] C. Snae, M. Brueckner and E. Hirata: "Distance online learning and evaluation framework". Journal POLIBITS: Computer science and computer engineering with applications, vol. 38, no. 2, pp. 69-74, 2008.
[13] C. Snae and M. Brueckner, A Learner-Centered Multimedia-Enhanced System with Online Assessment for Young Learners, the International Journal of the Computer, the Internet and Management (IJCIM), vol. 16, no.3, pp. 44.1-44.6, 2008.
[14] C. Snae and M. Brueckner, "Personal Health Assistance Expert System (PHASES)", International Journal of Biological and Medical Sciences, vol. 1, no.2, pp. 109-11, 2008.